Learning robotic pyeloplasty without simulators: an assessment of the learning curve in the early robotic era
OBJECTIVE: To analyze our experience and learning curve for robotic pyeloplasty during this robotic procedure. METHODS: Ninety-nine patients underwent 100 consecutive procedures. Cases were divided into 4 groups of 25 consecutive procedures to analyze the learning curve. RESULTS: The median anasto...
| Auteurs principaux: | , , , , |
|---|---|
| Format: | Article |
| Langue: | English |
| Publié: |
Elsevier España
|
| Collection: | Clinics |
| Sujets: | |
| Accès en ligne: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322019000100242&lng=en&tlng=en |
| _version_ | 1829458924989841408 |
|---|---|
| author | Mario F. Chammas Jr Anuar I. Mitre Marco A. Arap Nicholas Hubert Jacques Hubert |
| author_facet | Mario F. Chammas Jr Anuar I. Mitre Marco A. Arap Nicholas Hubert Jacques Hubert |
| author_sort | Mario F. Chammas Jr |
| collection | DOAJ |
| description | OBJECTIVE: To analyze our experience and learning curve for robotic pyeloplasty during this robotic procedure. METHODS: Ninety-nine patients underwent 100 consecutive procedures. Cases were divided into 4 groups of 25 consecutive procedures to analyze the learning curve. RESULTS: The median anastomosis times were 50.0, 36.8, 34.2 and 29.0 minutes (p=0.137) in the sequential groups, respectively. The median operative times were 144.6, 119.2, 114.5 and 94.6 minutes, with a significant difference between groups 1 and 2 (p=0.015), 1 and 3 (p=0.002), 1 and 4 (p<0.001) and 2 and 4 (p=0.022). The mean hospital stay was 7.08, 4.76, 4.88 and 4.20 days, with a difference between groups 1 and 2 (p<0.001), 1 and 3 (p<0.001) and 1 and 4 (p<0.001). Clinical and radiological improvements were observed in 98.9% of patients. One patient presented with recurrent obstruction. CONCLUSIONS: Our results demonstrate a high success rate with low complication rates. A significant decrease in hospital stay and surgical time was evident after 25 cases. |
| first_indexed | 2024-12-12T11:11:23Z |
| format | Article |
| id | doaj.art-3a19b2f4dfa64df7ba8c3b27f157fac7 |
| institution | Directory Open Access Journal |
| issn | 1980-5322 |
| language | English |
| last_indexed | 2024-12-12T11:11:23Z |
| publisher | Elsevier España |
| record_format | Article |
| series | Clinics |
| spelling | doaj.art-3a19b2f4dfa64df7ba8c3b27f157fac72022-12-22T00:26:17ZengElsevier EspañaClinics1980-53227410.6061/clinics/2019/e777S1807-59322019000100242Learning robotic pyeloplasty without simulators: an assessment of the learning curve in the early robotic eraMario F. Chammas JrAnuar I. MitreMarco A. ArapNicholas HubertJacques HubertOBJECTIVE: To analyze our experience and learning curve for robotic pyeloplasty during this robotic procedure. METHODS: Ninety-nine patients underwent 100 consecutive procedures. Cases were divided into 4 groups of 25 consecutive procedures to analyze the learning curve. RESULTS: The median anastomosis times were 50.0, 36.8, 34.2 and 29.0 minutes (p=0.137) in the sequential groups, respectively. The median operative times were 144.6, 119.2, 114.5 and 94.6 minutes, with a significant difference between groups 1 and 2 (p=0.015), 1 and 3 (p=0.002), 1 and 4 (p<0.001) and 2 and 4 (p=0.022). The mean hospital stay was 7.08, 4.76, 4.88 and 4.20 days, with a difference between groups 1 and 2 (p<0.001), 1 and 3 (p<0.001) and 1 and 4 (p<0.001). Clinical and radiological improvements were observed in 98.9% of patients. One patient presented with recurrent obstruction. CONCLUSIONS: Our results demonstrate a high success rate with low complication rates. A significant decrease in hospital stay and surgical time was evident after 25 cases.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322019000100242&lng=en&tlng=enRobotic-AssistedLaparoscopyUreteropelvic Junction ObstructionEducationLearning Curve |
| spellingShingle | Mario F. Chammas Jr Anuar I. Mitre Marco A. Arap Nicholas Hubert Jacques Hubert Learning robotic pyeloplasty without simulators: an assessment of the learning curve in the early robotic era Clinics Robotic-Assisted Laparoscopy Ureteropelvic Junction Obstruction Education Learning Curve |
| title | Learning robotic pyeloplasty without simulators: an assessment of the learning curve in the early robotic era |
| title_full | Learning robotic pyeloplasty without simulators: an assessment of the learning curve in the early robotic era |
| title_fullStr | Learning robotic pyeloplasty without simulators: an assessment of the learning curve in the early robotic era |
| title_full_unstemmed | Learning robotic pyeloplasty without simulators: an assessment of the learning curve in the early robotic era |
| title_short | Learning robotic pyeloplasty without simulators: an assessment of the learning curve in the early robotic era |
| title_sort | learning robotic pyeloplasty without simulators an assessment of the learning curve in the early robotic era |
| topic | Robotic-Assisted Laparoscopy Ureteropelvic Junction Obstruction Education Learning Curve |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322019000100242&lng=en&tlng=en |
| work_keys_str_mv | AT mariofchammasjr learningroboticpyeloplastywithoutsimulatorsanassessmentofthelearningcurveintheearlyroboticera AT anuarimitre learningroboticpyeloplastywithoutsimulatorsanassessmentofthelearningcurveintheearlyroboticera AT marcoaarap learningroboticpyeloplastywithoutsimulatorsanassessmentofthelearningcurveintheearlyroboticera AT nicholashubert learningroboticpyeloplastywithoutsimulatorsanassessmentofthelearningcurveintheearlyroboticera AT jacqueshubert learningroboticpyeloplastywithoutsimulatorsanassessmentofthelearningcurveintheearlyroboticera |